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~~ SENDER: <br />a •Complet• items 1 anNor 2 for edeitional services. <br />I a150 wish f0 receive the <br />m •Complele item9 3, 4a, and 4b. f0110W1ng eefVlCes (fOr an <br />l' ouru ame end edereae on the reverse Ot Ihie bon SO that w0 Can return Ihi! <br />N •~n extra fee): <br />d <br />~ •AaeU tl is loan to the hoot of the mailpieca, or on the back it space does not <br />• <br />7. ^ AddfeSSBe'S AddreSS N <br />~ <br />` <br />pertnn. <br />y .'Vldte'Retum Receipt Requesfed'on the mailpiers below the aside number. <br />2. ^ RBStdcted DSlivery d <br />y <br />t. •The Return Receipt will show to wham the enirle was eeliveree and the data <br />eeliveree. <br />Consult postrnaster for tee. <br /> <br />. <br />°• <br />~ <br />a ' ,. Article Addressed to: <br />rticle N mbar <br />~ U3 ~ <br />u <br />a~Y~..rK 1~\u.ne.. <br />o. r~ 1 1 <br />l~l~ <br />u 1V ~n5 ll' ~x <br />~ <br />L 4b. Service Type <br />^ R <br />i <br />d C <br />rtifi <br />d <br />t <br /> eg <br />ere <br />e <br />s <br />e <br /> r <br />_ <br />~11 <br />~~~5 `,,,~ ~~ <br />~ <br />~ <br />^ Express Mail ^ nsured rn <br /> ~-1 <br />W <br />\\,,. <br />. <br />(~ (~1 ^ ReNm Receipt for Merchandise ^ COD ~ <br />a ~ <br />, <br />u~ <br />~1lJ l~ t <br />\~ ~ 7 <br />Dat <br />f Delive <br /> . <br />J . <br />ry <br />e o <br /> 0 <br />T <br />~ 5. R ved By: (Print Name) 8. Addressee's r s (Only i/requested ~ . <br />m <br />r~~N n./ and /ee is poi = <br /> <br />g 6. S' Ad ssee or gent) F <br />0 <br />T <br />n <br />PS F n 3811, December tssa ~ Domestic Return Receipt <br /> <br />6.431 324 <br />° tce D <br />for Certified Mail ~ <br />ce Coverage Provided. <br />rte. tnrom~ei~not rr~a rs•a s~eTet <br /> f <br /> 51 b m r <br />, <br /> Office, Slate, 8 ZIP oQ p I ~ ~ <br />~j <br /> <br /> Postage $ <br /> <br /> Cartifed Fee ~ <br /> 3 <br /> Spedal Delivery Fee <br /> •` <br /> <br /> <br />n <br />Restdged Delivery Fee .~ <br />V <br />a Return Receipt Slwwing to ~ <br />-_ Whom ADete Defivarad YD <br /> Realm Receipt Stceiq to Whom, <br />' ~ <br /> Dak,6AdNnsea <br />s Pd6sss CD <br />D TOTAL Postage 8 Fees $ ~., <br />~ Posbnark or Dete <br />5 a <br />'- C <br />L - ~ C <br /> 4 <br /> <br />